Treatment of acute sub-massive pulmonary embolism with balloon angioplasty and thrombolysis simultaneously [version 1; peer review: awaiting peer review]
Background: Acute sub-massive pulmonary embolism is a common clinical condition, and it is associated with high mortality and morbidity. This condition is commonly associated with various co-morbidities and clinical circumstances. Methods: This is a case report series of 4 patients, wherein the thro...
Saved in:
Published in | F1000 research Vol. 12; p. 1272 |
---|---|
Main Author | |
Format | Journal Article |
Language | English |
Published |
2023
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Background: Acute sub-massive pulmonary embolism is a common clinical condition, and it is associated with high mortality and morbidity. This condition is commonly associated with various co-morbidities and clinical circumstances.
Methods: This is a case report series of 4 patients, wherein the thrombolysis and balloon angioplasty was performed simultaneously using a Cordis 6F diagnostic catheter and later exchanged with a 6F guide catheter in the respective pulmonary artery when a larger balloon was required.
Results: All these four patients achieved successful revascularization of the respective pulmonary artery. One patient expired 30 hours after the procedure with a significant reduction in the symptoms suddenly, which was likely a second episode of pulmonary embolism. No bleeding manifestations were observed in any of the patients. The other three patients are on follow-up.
Conclusion: Simultaneous coronary balloon dilatation and thrombolysis is a useful method in the treatment of sub-massive acute pulmonary embolism. If needed, higher caliber balloons can be used for the same technique using guide catheters. |
---|---|
ISSN: | 2046-1402 2046-1402 |
DOI: | 10.12688/f1000research.137454.1 |